Individual
MS. LISA ALTAVIA FLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH-LANGUAGE PATH
Contact information
Practice address
13634 ROYALWOOD LN, CHARLOTTE, NC 28273-4716
(704) 583-2389
(704) 583-2389
Mailing address
PO BOX 410842, CHARLOTTE, NC 28241-0842
(704) 583-2389
(704) 583-2389
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3679
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7432970
—
NC
Enumeration date
12/01/2006
Last updated
07/09/2007
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